037Lu Amyloid Trachea and Bronchi

56-year-old female with stable tracheobronchial amyloidosis.
The CXR shows in the AP projection shows a small tubular density which on CT reflect as a small bronchus which is thickened and contains calcification. The lateral exam shows bronchial wall thickening
The CT shows multicentric thickening of the trachea and bronchi.
The bronchi to the left lower lobe and a middle lobe bronchus are thickened and contain calcium
There is nodular fat accumulation along the lateral wall and apex of the LV and within the RV. There is also linear fat accumulation in the mid septal region and prominent pericardial fat around the anterior wall of the RV

THICKENED BRONCHUS IN THE RLL
AMYLOIDOSIS TRACHEA BRONCHI BRONCHIOLES
Ashley Davidoff MD
THICKENED TRACHEA (red arrow) and BRONCHUS (white arrow)
AMYLOIDOSIS TRACHEA BRONCHI BRONCHIOLES
Ashley Davidoff MD
AMYLOID IN THE TRACHEA (red arrow)
AMYLOIDOSIS TRACHEA BRONCHI BRONCHIOLES
Ashley Davidoff MD
AMYLOIDOSIS of the TRACHEA (red arrow)
Ashley Davidoff MD
AMYLOID IN THE RIGHT LOWER LOBE BRONCHUS (red arrow) and DISTORTION OF RIGHT UPPER LOBE BRONCHUS (black arrow)
Ashley Davidoff MD
AMYLOIDOSIS BILATERAL MAINSTEM BRONCHI
Ashley Davidoff MD
AMYLOIDOSIS LLL BRONCHUS (red arrow)
Ashley Davidoff MD
MEDIUM SIZED BRONCHUS WITH THICKENED WALLS (red arrow)
Ashley Davidoff MD
AMYLOIDOSIS – BRONCHIOLES (red arrow)
Ashley Davidoff MD
CALCIFICATION IN SMALL AIRWAYS (white arrow)
Ashley Davidoff MD
CALCIFICATION IN SMALL AIRWAYS (white arrow)
Ashley Davidoff MD

 

NODULAR FATTY DEPOSITS IN LV ( yellow arrow), IN RV (orange arrow) and AROUND RV (green arrow)
Ashley Davidoff MD